41D2224225 CLIA NUMBER - RHODE ISLAND CVS PHARMACY, LLC DBA CVS/PHARMACY #05868

Laboratory Demographics

  • CLIA Code: 41D2224225
  • Facility Name: RHODE ISLAND CVS PHARMACY, LLC DBA CVS/PHARMACY #05868
  • Facility Address: 1776 BROAD ST
    CRANSTON, RI
    ZIP 02905
  • Facility Phone: 866 389-2727
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: AMANDA GIARRUSSO
  • NPI Number: 1245607795
  • Taxonomy: 261QM1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 41D2224225
LAB Type Pharmacy
Facility Name RHODE ISLAND CVS PHARMACY, LLC DBA CVS/PHARMACY #05868
Street 1776 BROAD ST
City CRANSTON
State RI
ZIP 02905
Phone 866 389-2727
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/12/2025
Certificate Expiration Date 5/11/2027
Facility Type Pharmacy
Lab Director AMANDA GIARRUSSO

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This page was last updated on: 9/29/2025